Publisher

BALIMEDICALJOURNALBALIMEDICALJOURNAL

Journal BMJBMJ Abstract

Introduction: Human Immunodeficiency Virus (HIV) is a virus that weakens the bodys immune system and causes multisystemic disease. HIV infection results in significant morbidity and mortality for those affected. Furthermore, individuals with HIV must take medication for life to control the disease. Therefore, HIV prevention is paramount. Pre-exposure prophylaxis (PrEP) is an HIV prevention intervention using antiretroviral medication. Beyond key populations, other general populations are at risk due to unsafe sexual behaviour, namely market traders and housewives, who are also vulnerable to HIV infection. Methods: This study employed a purely qualitative design to examine risky sexual behaviour and PrEP acceptance for HIV prevention amongst at-risk general populations at Badung Market, Denpasar City. The research involved 25 informants comprising traders, trader coordinators, market unit heads, primary health centres, and the Denpasar City Health Office. The study utilised thematic data analysis. Results: The prevalence of multipartner sexual behaviour amongst Badung Market traders, both married and unmarried, was notable. This behaviour significantly increases the risk of sexually transmitted infection (STI) and HIV transmission, particularly when combined with inconsistent condom use. Interview analysis revealed that over 90% of trader informants had never heard of PrEP before this research interview. There was high acceptance of the mobile PrEP service model at Badung Market due to ease of access. Simultaneous implementation of Level 1 – Predisposing: Changing Knowledge, Attitudes, and Perceptions; Level 2 – Enabling: Facilitating Access; and Level 3 – Reinforcing: Creating Social Support is predicted to increase PrEP uptake, ensure adherence, and ultimately reduce HIV incidence in the market trader population. Conclusion: The Badung Market trader population is at high risk of HIV due to multipartner sexual behaviour and inconsistent condom use. Despite minimal knowledge about PrEP, they demonstrate good acceptance of mobile PrEP services. Prevention programmes must focus on education and integrated access improvement to achieve effective HIV incidence reduction.

Conclusion

The Badung Market trader population is at high risk of HIV due to multipartner sexual behaviour and inconsistent condom use.Despite minimal knowledge about PrEP, they demonstrate good acceptance of mobile PrEP services.Prevention programmes must focus on education and integrated access improvement to achieve effective HIV incidence reduction.

Future Research

Berdasarkan temuan penelitian ini, beberapa saran penelitian lanjutan dapat dipertimbangkan. Pertama, penelitian lebih lanjut perlu dilakukan untuk memahami secara mendalam faktor-faktor sosial dan budaya yang mendorong perilaku seksual berisiko di kalangan pedagang pasar, termasuk peran norma gender, tekanan ekonomi, dan dinamika hubungan interpersonal. Penelitian ini dapat menggunakan metode etnografi atau studi kasus untuk menggali perspektif dan pengalaman individu secara lebih komprehensif. Kedua, penelitian intervensi perlu dirancang untuk menguji efektivitas berbagai strategi pendidikan kesehatan dan peningkatan akses layanan PrEP yang disesuaikan dengan kebutuhan dan karakteristik unik pedagang pasar. Intervensi ini dapat melibatkan penggunaan media sosial, penyuluhan dari tokoh masyarakat, dan pembentukan kelompok dukungan sebaya. Ketiga, penelitian lanjutan perlu mengeksplorasi potensi integrasi layanan PrEP dengan layanan kesehatan lainnya yang sudah ada di pasar, seperti pemeriksaan kesehatan rutin, konseling gizi, dan layanan kesehatan reproduksi. Integrasi ini dapat meningkatkan efisiensi dan efektivitas program pencegahan HIV secara keseluruhan, serta menjangkau populasi yang lebih luas.

References

1. Attitudes and Acceptance of Oral and Parenteral HIV Preexposure Prophylaxis among Potential User Groups:... journals.plos.org/plosone/article?id=10.1371/journal.pone.0028238Attitudes and Acceptance of Oral and Parenteral HIV Preexposure Prophylaxis among Potential User Groups journals plos plosone article id 10 1371 journal pone 0028238
2. Sexual Behaviours for Contracting Sexually Transmitted Infections and HIV at Badung Traditional Market,... doi.org/10.15294/kemas.v14i3.13733Sexual Behaviours for Contracting Sexually Transmitted Infections and HIV at Badung Traditional Market doi 10 15294 kemas v14i3 13733
3. Prevalence of diabetic retinopathy among diabetes mellitus type 2 patients at Diabetes Center of Sanglah... doi.org/10.15562/ism.v9i1.155Prevalence of diabetic retinopathy among diabetes mellitus type 2 patients at Diabetes Center of Sanglah doi 10 15562 ism v9i1 155
4. PrEP Use Awareness and Interest Cascade among MSM and Transgender Women Living in Bali, Indonesia. prep... mdpi.com/2414-6366/5/4/158PrEP Use Awareness and Interest Cascade among MSM and Transgender Women Living in Bali Indonesia prep mdpi 2414 6366 5 4 158

Metadata

File size	393.55 KB
Pages	10
DMCA	Report